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Updated: Jul 2, 2026

Preterm EEG: A Multimodal Neurophysiological Protocol
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Utility of Protocolized Maternal Training for Transitioning Stable Preterm Neonates: A Prospective Cohort Study.

Pavneet Kaur1, Deepika Kainth2, Ankit Verma2

  • 1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Pediatrics
|January 8, 2026
PubMed
Summary

Implementing a maternal training program safely and effectively transitions stable preterm infants from the NICU to the postnatal ward. This approach enhances newborn care preparedness and caregiver confidence for successful home discharge.

Keywords:
Family participatory careNICU dischargePreterm transition

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Area of Science:

  • Neonatal Medicine
  • Pediatrics
  • Healthcare Management

Background:

  • Transitioning preterm infants from Neonatal Intensive Care Units (NICUs) to home care presents challenges due to caregiver preparedness gaps.
  • Limited evidence exists on the effectiveness of caregiver training programs in facilitating this transition.
  • Maternal preparedness is crucial for the safe and successful discharge of preterm neonates.

Purpose of the Study:

  • To assess the safety and feasibility of transitioning stable preterm neonates (28-33 weeks gestation) from the NICU to the postnatal ward.
  • To evaluate the impact of a NICU-based protocolized maternal training program on infant outcomes and maternal satisfaction.
  • To compare outcomes of infants transitioned after the training program with historical unit data.

Main Methods:

  • A protocolized maternal training program was implemented in the NICU for mothers of stable preterm infants (28-33 weeks gestation).
  • Seventy-three neonates meeting 'stable' criteria were transitioned to the postnatal ward with their 'ready' mothers.
  • Infant outcomes (weight gain, hospital stay, readmission rates) and maternal satisfaction were assessed and compared with historical data.

Main Results:

  • Successful transition was achieved in 97.2% of neonates, with only 2.7% requiring NICU readmission.
  • Average weekly weight gain was 16.5 g/kg/d, with a median hospital stay of 25 days.
  • Maternal satisfaction was 100% at discharge, with 57.5% exclusive breastfeeding at follow-up.

Conclusions:

  • The NICU-based protocolized maternal training program is safe and feasible for transitioning stable preterm neonates.
  • This approach positively impacts infant growth and maternal well-being, facilitating a smoother transition to home care.
  • The findings support the integration of comprehensive maternal training into NICU protocols to improve preterm infant care transitions.